Active NPI
Kathy Hodge
- Rehabilitation Practitioner
- Reno, NV
National Provider Identifier
1053473777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- 2006 S
- Practice address
- 16040 Edmands Dr
Reno, NV 89511-7779 - Phone
- (775) 851-8960
- NPI assigned
- Dec 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | 2006 S | NV | Primary |
Addresses
Primary practice location
16040 Edmands Dr
Reno, NV 89511-7779
Mailing address
16040 Edmands Dr
Reno, NV 89511-7779
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006 S | NV | MD | Rehabilitation Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301961600000",
"number": "1053473777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16040 EDMANDS DR",
"city": "RENO",
"state": "NV",
"postal_code": "895117779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16040 EDMANDS DR",
"city": "RENO",
"state": "NV",
"postal_code": "895117779",
"telephone_number": "775-851-8960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGE",
"first_name": "KATHY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-16",
"last_updated": "2011-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "NV",
"license": "2006 S",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.